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Search › Georgia › 163W00000X

Theadonelly Beckwith

NPI 1265834451 · on the registry since 2014

Practice

Address
1061 Harmon Ave
Ft. Stewart, GA 31314
Phone
(912) 435-6008
Organisation at this address
Troop Medical Clinic #4
Winn Army Community Hosp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia